LifeWays Community Mental Health Pine Room│9:30am -11:00am
Provider Meeting │Agenda Introductions/Welcome Provider Kudos LifeWays Procedure Changes & Announcements Director Updates Keynote Speaker │ Courtney Sullivan Finance Updates 30 Second PSA
Welcome │ Introductions Makena L’Huillier , Provider Analysis, Contracts and Network Management
Contracts & Provider Network Management Michael Cupp Conner Gibbons Director Administrative Assistant Phone: 517.796.4578 Phone: 517-796-4509 Michael.Cupp@lifewayscmh.org conner.gibbons@lifewayscmh.org Tony McMurtry Rick Van Wagoner Contract Manager Contract Manager Phone: 517.796.4577 Phone: 517-780-331 Tony.McMurtry@lifewayscmh.org rick.vanwagoner@lifewayscmh.org Makena L’Huillier Roxie McUmber Provider Analyst Claims Analyst Phone: 517.789.1299 Phone: 517.789.2487 Makena.LHuillier@lifewayscmh.org Roxie.McUmber@lifewayscmh.org
If you would like to publicly recognize someone with a kudos at the next provider meeting please forward the information below to Conner Gibbons. Name of person you are recognizing • Organization of the person you are recognizing • A small summary about what you are recognizing them for • Your name and organization •
Kudos! “I just want to say thank you to Courtney Sullivan, Rick VanWagner, Craig Crawford, Betsy Evans and Jack Tallman. Their support was beyond expectations as they supported a man with cerebral palsy at Henry Ford Allegiance in advocating for services and his best interest. It was a quality of Life difference for this man.” Lisa Monk, Tenacious Living
Kudos! “I would like to recognize Michael Jackson at Segue ACT for his dedication and perseverance to serving his consumers. He goes above and beyond for his consumers. He truly is a fantastic advocate!” Courtney Sullivan, LifeWays
LifeWays Procedure Changes & Announcements The LifeWays Process Alert is a monthly publication that includes procedural changes and announcements important to LifeWays’ Network Providers and their staff. MDHHS Press Release- September 6, 2019 MDHHS takes new preemptive steps to prepare Healthy Michigan Plan beneficiaries for work requirements, begins ‘how to’ notifications on continuing coverage Special Process Alert │ September 5, 2019 Commencement of 30-Day Comment Period for Revised Operating Procedure 4-02.18 Involuntary Commitment Court Proceedings Special Process Alert │ September 5, 2019 September 14 is Naloxone Distribution Day in Michigan!
Director Updates Michael Cupp, Director Contracts and Provider Network FY2020 Contract Discussions Credentialmydoc Claims Documentation Referral Process Treatment Plan Signature Relias Communications
LifeWays Contact and Communication Day-to-Day Operations Providers are encouraged to contact LifeWays’ departmental staff for regular day -to-day operations as defined in LifeWays procedure (i.e., provider case management supervisor contacts Utilization Management staff about authorizations, etc.). Problems and Concerns If provider staff have problems with LifeWays processes or issues with LifeWays staff members, concerns about another provider or if they are not sure how to address a situation, they should first discuss the matter with their supervisor and then the LifeWays ’ Contract and Provider Network Management staff for assistance. Providers are invited to contact their assigned Contract Manager and/or Michael via Conner as needed. All network staff are encouraged to contact the Office of Recipient Rights and/or the LifeWays Compliance Officer whenever needed for compliance or when a recipient ’ s rights are a concern. Contacting LifeWays Chiefs LifeWays ’ Chief Executive, Operations, Finance, and Clinical/Quality Officers are available when needed. When a provider ’ s attempt to work with Contract and Provider Network Management staff to problem solve concerns has been unsuccessful, their agency leadership is encouraged to contact the appropriate Chief. Formal Contract Notifications Provider contracts with LifeWays have specific notification requirements. Please note that conversations with or emails to LifeWays’ departmental or leadership staff do not meet formal notification requirements. Changes to service status, changes to ownership and control, changes to accreditation, pending litigation, and intent to terminate all or part of a contract are some of the situations requiring formal notice delivered to the attention of the Director of Contracts and Provider Network Management as defined in the contract.
Keynote Speaker Courtney J Sullivan RN, BSN Nursing Care Manager, Integrated Health, LifeWays Flu Season Prevention- all residents without medical or religious contraindications should be vaccinated. Consumer’s in residential facilities should be monitored closely for symptoms of flu and referred quickly for treatment. Residential Homes should review visitor procedures and have a process to screen visitors for symptoms and consider limitations regarding visitors during the peak of the flu season. Network staff that visit residential homes should use precautions (sanitize hands entering and leaving, have masks and gloves available, etc.) when visiting homes and should check with homes to see if there are individuals with symptoms. Some homes may be placed on quarantine status and staff may need or want to reschedule visits. Staff who have symptoms should avoid visits with consumers. Positive identification of Influenza for residents or staff in residential homes or for staff that visit residential homes or who interact with residential consumers should be reported to the Contract and Network Management office immediately. Treatment teams should evaluate if a consumer has a heightened risk should they be exposed to the flu (ie compromised immune system) and consider modifying community access or visits during the height of the flu season. If you have questions about such restrictions please contact the Office of Recipient Rights or Michael Cupp, BTC Chair https://www.prevention.com/health/health-conditions/a22813625/flu-symptoms-prevention/
Finance Carol Rankin, Claims Specialist Fiscal Year (FY) 2019 is quickly coming to a close. Please remember all claims through September 30 must be submitted for payment by November 15 (45 day submission window) to be included in our year-end closeout. Claims received after that date may not be paid. Claims affected by EOBs and other insurances will be paid according to the terms of their respective contract agreement.
30 second PSA
LifeWays Community Mental Health Thank You for Attending! Pine Room │ 9:30am-11:00am
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